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PHARMACY COVERAGE GUIDELINES SECTION: DRUGSORIGINAL EFFECTIVE DATE: LAST REVIEW DATE: LAST CRITERIA REVISION DATE: ARCHIVE DATE:11/17/16 11/16/17 11/16/17XIIDRA (lifitegrast) ophthalmic solution Coverage
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01
To fill out xiidra lifitegrast ophthalmic solution, follow these steps:
02
Wash your hands thoroughly with soap and water.
03
Take the dropper bottle of xiidra and remove the cap.
04
Tilt your head back and pull down your lower eyelid to create a small pouch.
05
Hold the dropper bottle upside down, directly over the eye pouch.
06
Squeeze the bottle gently to release one drop of solution into the pouch.
07
Close your eye and gently press your finger against the inner corner of the eye for about 1 minute. This helps prevent the solution from draining away.
08
If you need to instill a drop in both eyes, repeat steps 3-6 for the other eye.
09
Put the cap back on the dropper bottle and tighten it.
10
Remember to follow the exact instructions provided by your healthcare professional or the product label while filling out xiidra lifitegrast ophthalmic solution.

Who needs xiidra lifitegrast ophthalmic solution?

01
Xiidra lifitegrast ophthalmic solution is typically prescribed to individuals who have dry eye disease.
02
Dry eye disease is a chronic condition where the eyes do not produce enough tears or the tears evaporate too quickly. Symptoms of dry eye disease include a gritty or sandy feeling in the eyes, stinging or burning sensation, redness, discomfort, and blurred vision.
03
If you experience any of these symptoms or have been diagnosed with dry eye disease, you may benefit from using xiidra lifitegrast ophthalmic solution. However, it is important to consult with your healthcare professional before starting any medication.
04
Only your healthcare professional can determine if xiidra lifitegrast ophthalmic solution is suitable for your condition and provide the appropriate dosage instructions.
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Xiidra lifitegrast ophthalmic solution is a prescription eye drop used to treat signs and symptoms of dry eye disease.
Healthcare providers are required to prescribe and patients are required to use xiidra lifitegrast ophthalmic solution.
Xiidra lifitegrast ophthalmic solution is administered as eye drops according to the dosage instructions provided by the healthcare provider.
The purpose of xiidra lifitegrast ophthalmic solution is to reduce inflammation and increase tear production in individuals with dry eye disease.
Information such as patient name, prescription date, dosage instructions, and any side effects experienced must be reported when using xiidra lifitegrast ophthalmic solution.
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